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Individual

MARK HARRIS ECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3130 HIGHLAND AVE, ML0782, CINCINNATI, OH 45219-2399
(513) 584-4503
(513) 584-0462
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-076209
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010065383
RAIL ROAD MEDICARE
OH
05
200246700
IN
05
2137306
OH
05
64964075
KY
Enumeration date
04/20/2006
Last updated
07/13/2017
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